National Institute for Health Specialties

Program Information Form

GENERAL INFORMATION

Application Information

Institution Name *

Institution Email *

Application Type *

New (Initial Accreditation Application)

Renewal (Continued Accreditation Application)

Program Name *

Program Director Information

First Name *

Last Name *

Phone *

Email *

Program Coordinator

First Name *

Last Name *

Phone *

Email *

Attachments

Copy of Program Director Appointment Letter signed by DIO/ Medical Affairs Director or Equivalent * Note: file size should not exceed 5MB.

(Note: once this document has been submitted, you will receive a separate link to complete the common program accreditation form via redcap)
To review the common program form, click here: Common program form (PDF Format)

Speciality Program Information Form * Please download the Program Information Form Template from following links as per your Speciality, Fill up and upload it as an attachment. Internal Medicine | General Surgery | Psychiatry | ENT | ObGyne | Family Medicine | Pediatrics | Pediatric Dentistry | Emergency Medicine | Anesthesia | Radiology | Clinical Genetics | Ophthalmology | Neonatology | Orthodontics | Nephrology | Urology | Neurology | Adult Rheumatology | Pediatric Rheumatology | Infectious Diseases | Periodontics | Prosthodontic | Endodontics | Cardiology | Dermatology | Gastroenterology | Critical Care Medicine | Oncology | Orthopedics | Hematology | Child and Adolescent Psychiatry

Self-Assessment form (Rubrics) * Please download Self-Assessment Form (Rubrics) from following links as per your Speciality, Fill up and upload it as an attachment. Internal Medicine | General Surgery | Psychiatry | ENT | ObGyne | Family Medicine | Pediatrics | Pediatric Dentistry | Emergency Medicine | Anesthesia | Radiology | Clinical Genetics | Ophthalmology | Neonatology | Orthodontics | Nephrology | Urology | Neurology | Adult Rheumatology | Pediatric Rheumatology | Infectious Diseases | Periodontics | Prosthodontic | Endodontics | Cardiology | Dermatology | Gastroenterology | Critical Care Medicine | Oncology | Orthopedics | Hematology | Child and Adolescent Psychiatry

For further information, please contact the accreditation team on the following email: NIHS@uaeu.ac.ae

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